Name:

Address:

Telephone:

Mobile Telephone:

E-mail:

Dates Required

From:

To:

Please give details of your party, (including pets) number of adults, children and ages.

Male:

Female:

Children:

Pets:

Baby sitting can be arranged, please indicate if you think you will require this service.

Babysitting:

I enclose a cheque for:

Being the 25% deposit

The balance of:

Being due one calendar month before arrival

I declare that I have read the Terms and Conditions and the General Information and agree to them.

Signature:

Date:

All cheques should be made payable to ‘Wilson's Holidays’.
Post to: 2 Glan y Gors, Dinorwic, Caernarfon, Gwynedd. LL55 3EW